Provider Demographics
NPI:1497787022
Name:ROWEN, RANDALL CHARLES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:CHARLES
Last Name:ROWEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 WOOD CUT RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-3956
Mailing Address - Country:US
Mailing Address - Phone:803-359-9906
Mailing Address - Fax:803-777-1943
Practice Address - Street 1:118 WOOD CUT RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-3956
Practice Address - Country:US
Practice Address - Phone:803-359-9906
Practice Address - Fax:803-777-1943
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0079261835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy